Douglas J Kosek DDS PC

NPI #1811064215 in South Bend, Indiana

Provider Information

NPI Number: 1811064215
Entity Type: Organization
Organization Name: Douglas J Kosek DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 413 WEST JEFFERSON BLVD
City: South Bend
State: Indiana
ZIP Code: 46601-1514
Phone: (574) 232-2992

Authorized Official

Name: DOUGLAS JOHN KOSEK, DDS
Title: PRESIDENT
Phone: (574) 232-2992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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